Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... "pooping duck sign ... #Radiology #XRay ... #Diagnosis #Management ... Orthopedics #Sports #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
carpal bone. ... • Most common carpal ... #Radiology #XRay ... #Diagnosis #Management ... Orthopedics #Sports #MSK
POCUS Findings in Acute Pulmonary Embolism
- McConnell's Sign
- TAPSE
- D-Shaped Septum
- Abnormal RV:LV Ratio

#Pulmonary #Embolism #AcutePE
POCUS Findings in ... Acute Pulmonary ... RV:LV Ratio #Pulmonary ... AcutePE #Accuracy #POCUS ... Diagnosis
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... to diagnosis scapholunate ... ("Terry Thomas sign ... #Radiology #XRay ... Orthopedics #Sports #MSK
Most Common Carpal Bone Fractures by Frequency
 • Scaphoid - 50-80%
 • Triquetral - 5-20%
 •
Most Common Carpal ... Bone Fractures ... wrist #frequency #radiology ... #msk #orthopedics ... #diagnosis
Common Hand Fractures on X-Ray
Mallet finger - injury to the lateral extensor slips
Boutonniere deformity - injury
Common Hand Fractures ... Rolando fracture ... Terry thomas sign ... #XRay #Radiology ... #differential #diagnosis
Signs of Pulmonary Hypertension on Chest CT
 • Main PA is dilated and larger than the
Signs of Pulmonary ... Carina crossover sign ... of the carina (caudal ... @PulmPEEPs #Pulmonary ... #cardiology #diagnosis
Hamate Fracture on Wrist X-Ray

- point tenderness over the hamate should raise suspicion for a fracture,
Hamate Fracture ... suspicion for a fracture ... associated signs ... #WristXRay #Radiology ... #MSK #Orthopedics
D-Sign on Ultrasound
Right Ventricular Pressure vs Volume Overload
Eccentricity Index (EI) = D2/D1
RV Overload “D Sign” EI
D-Sign on Ultrasound ... RV Overload “D Sign ... ” EI > 1 - POCUS ... echocardiogram #psax #diagnosis ... #cardiology #pocus
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Differential/diagnosis ... RV, McConnell's sign ... A4c #clinical #cardiology ... #McConnells #sign